Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders
Bibliographic Data
| ID | 15520486 |
|---|---|
| Authors | Johannes Petzold (0000-0003-4163-9014, University Hospital Carl Gustav Carus, corresponding author), Maik Spreer (0000-0001-8436-8520, University Hospital Carl Gustav Carus), Maria Krüger (University Hospital Carl Gustav Carus), Cathrin Sauer (University Hospital Carl Gustav Carus), Tobias Kirchner (University Hospital Carl Gustav Carus), Susanna Hahn (Technische Universität Dresden), Ulrich S Zimmermann, U Zimmermann (0000-0001-7900-4992, Technische Universität Dresden), Maximilian Pilhatsch (0000-0003-4323-3309, University Hospital Carl Gustav Carus) |
| Year | 2021 |
| Volume | 12 |
| Pages | 762041-762041 |
| Publication date | 2021-10-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2021.762041 |
| PMID | 34759851 |
| OpenAlex | W3208454818 |
| Language | EN |
| Citations received | 2 |
| References cited | 19 |
Background: Methamphetamine use is a rapidly increasing cause of morbidity and mortality. Pregnant women and new parents who consume methamphetamine are at high risk since they seldom seek health services despite having multiple needs. We addressed this care gap by implementing an easily accessible program that pools resources from psychiatric, obstetric, and pediatric departments as well as community and government agencies. Method: This real-life observational study evaluated an integrated care program in 27 expecting parents and 57 parents of minors. The outcome criteria were treatment retention, psychosocial functioning, and abstinence. We compared participant demographics according to outcome and applied ordinal logistic regression to predict treatment success. Results: Patients received integrated care for almost 7 months on average. Nearly half achieved stable abstinence and functional recovery. Only one pregnant woman dropped out before a care plan could be implemented, and all women who gave birth during treatment completed it successfully. Three-fourths of patients had psychiatric comorbidities. Patients with depressive disorders were almost 5 times less likely to succeed with treatment. Attention-deficit hyperactivity disorder (ADHD) was diagnosed in nearly 30% of patients who dropped out of a care plan, which was about 4 times more often than in the successful outcome group. Conclusion: Our program engaged pregnant women and parents in treatment and helped them recover from methamphetamine-related mental disorders. Management of comorbid ADHD and depression should be an integral part of care initiatives to counter the methamphetamine crisis that affects parents and children across the globe
Abstinence · Depression (economics · Family medicine · Health care · Mental health · Psychiatry · Psychosocial · Attention Deficit Hyperactivity Disorder · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Prenatal Substance Exposure Effects
Effectiveness of the First German-Language Group Psychotherapy Manual to Accompany Short-Term Treatment in Methamphetamine Dependence
A Prospective Study of Service Use in the Year After Birth by Women at High Risk for Antenatal Substance Use and Mental Health Disorders
Correlates of Outpatient Drug Treatment Drop-Out Among Methamphetamine Users
Amphetamine- and Opioid-Affected Births
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2022 - 2024 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |